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Eric Mbualungu
Nursing Home Administrator in Centreville, Virginia
NPI 1093422982

Eric Mbualungu is a Nursing Home Administrator based in Centreville, VA. Eric Mbualungu practices in Centreville, VA. The NPI Number for Eric Mbualungu is 1093422982 and holds a License No. (Virginia).

The current practice location address for Eric Mbualungu is 14600 Cedar Knoll Dr, Centreville, VA and can be reached out via phone at 571-619-3099.

Location: 14600 Cedar Knoll Dr, Centreville, VA, 20120-2895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093422982
Provider Name
Eric Mbualungu
Credential
Provider Entity Type
Individual
Gender
Male
Address
14600 Cedar Knoll Dr, Centreville, VA, 20120-2895
Phone Number
571-619-3099
Fax Number
Provider Enumeration Date
11/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14600 Cedar Knoll Dr
City
Centreville
State
Virginia
Zip
20120-2895
Phone Number
571-619-3099
Fax Number
person
Provider Business Mailing Address Details
Address
14600 Cedar Knoll Dr
City
Centreville
State
Virginia
Zip
20120-2895
Phone Number
571-619-3099
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
()
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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